Brit J Hosp Med
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In the wake of the Modernising Medical Careers reforms, the issue of careers support has risen up the medical education agenda. This article looks at best practice in providing careers support to junior doctors and considers how to advise trainees whose career plans you believe to be unrealistic.
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This article reviews the current literature and practice of tracheostomy with consideration of timing and the benefits of early tracheostomy, taking account of the results from the recent TracMan study.
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Acute exacerbations of chronic obstructive pulmonary disease (COPD) causing respiratory failure are associated with mortality rates of up to 26%. A new Royal College of Physicians guideline aims to impart standards and practical advice to those providing a non-invasive ventilation service for these patients. This article examines the guideline.